Individual
JACKIE D RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY PEER ADVOCATE
Contact information
Practice address
1 MUSTARD ST STE 2000, ROCHESTER, NY 14609-6980
(585) 354-3336
Mailing address
1 MUSTARD ST STE 2000, ROCHESTER, NY 14609-6980
(585) 354-3336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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